A Primary Care Provider's Guide to Managing Respiratory Health in Subacute and Chronic Spinal Cord Injury.

Journal Article (Journal Article;Review)

Respiratory complications following spinal cord injury (SCI) have remained the leading cause of death across the lifespan and are one of the most common reasons for hospitalization. Complications from altered respiratory physiology after SCI include atelectasis, pneumonia, venous thromboembolic disease, and sleep-disordered breathing. The risk for complications is greater with higher SCI levels and severity, and mortality from pneumonia is heightened compared to the general population. Optimal primary care for individuals with SCI includes appropriate surveillance for SCI-specific respiratory disease, key preventive care including promotion of influenza immunization and respiratory muscle training, and early identification and treatment of pneumonia with institution of aggressive secretion management strategies. The respiratory physiology and specific management of respiratory complications after SCI is reviewed.

Full Text

Duke Authors

Cited Authors

  • Reyes, MRL; Elmo, MJ; Menachem, B; Granda, SM

Published Date

  • 2020

Published In

Volume / Issue

  • 26 / 2

Start / End Page

  • 116 - 122

PubMed ID

  • 32760190

Pubmed Central ID

  • PMC7384541

Electronic International Standard Serial Number (EISSN)

  • 1945-5763

Digital Object Identifier (DOI)

  • 10.46292/sci2602-116


  • eng

Conference Location

  • United States